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21 Cards in this Set

  • Front
  • Back
-base to clavicles (loudest) to carotids
-midsystolic
-cres-decres
-softer on hand grip (increases periph resistance)
Aortic Stenosis
MCCs of Aortic Stenosis
congenital bicuspid AV, aging
MC Systolic Murmurs
aortic stenosis, mitral valve regurg
-radiates apex to axilla
-holosystolic
-softer on hand grip
Mitral Valve Regurge
-mid-to-late systolic w/clicks at start
MItral Valve Prolapse
MCC of Mitral Valve Regurg
CHF, MIs, M valve prolapse, Rheumatic fever, endocarditis
-LL sternal border
-midsystolic
- louder w/valsalva maneuver
Hypertrophic cardiomyopathy
-midsystolic
-3rd IC space
-thrill
VSD
MCC of VSD
congenital, trauma, complication of cardiac catheterization (rare)
MCC Right-Sided Systolic Murmurs
Tricupsid Regurg and Pulmonary Stenosis
-holosystolic
-RLSB (right lower sternal border)
-louder on inspiration
Tricuspid Regurg
MCC Tricuspid Regurg
R sided endocarditis (IVDA)
-base
-midsystolic
-louder on inspiration
Pulmonic Valve Stenosis
MCC Diastolic Murmurs
Aortic Regurg, Mitral Stenosis
More Common - Diastolic or Systolic?
Systolic
-base to LL sternal border
-lean forward on expiration to hear
-S2 into early decrescendo into pause into S1
-low rumbling
Aortic Regurg/Insufficiency
Causes of Aortic Regurg/Insufficiency
MCC: aortic aneurysms, aortic dissection, congenital defects & valve degeneration
(also:
-Marfan syndrome
-ankylosing spondylitis
- Endocarditis
-HTN
-Reiter syndrome
- Syphilis
- SLE)
-found at apex, no radiation
-hear best w/patient in L lateral decubitous position
-increases w/exercise
-low pitch
-late diastolic
Mitral Valve Stenosis
MCCs of Mitral Valve Stenosis
-rheumatic fever
-congential malformations
Diastolic Murmurs
Mitral Valve Stenosis
Aortic Regurg/Insufficiency
(also: Pulmonic Regurg/Insufficiency Tricuspid Valve Stenosis)
Systolic Murmurs
Mitral Valve Regurg
Aortic Stenosis
(also: Pulmonic Stenosis
Tricuspid Valve Regurg
Hypertrophic cardiomyopathy
VSD)